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BACKGROUND The assumption underlying tailoring is that implementation interventions are most helpful if these effectively address the most important determinants of practice for improvement in the targeted setting. The aim of the Tailored Implementation For Chronic Diseases (TICD) project is to develop valid and efficient methods of tailoring implementation(More)
OBJECTIVE Acupuncture has traditionally been used in the treatment of inflammatory bowel disease in China and is increasingly applied in Western countries. The objective of this study was to investigate the efficacy of acupuncture and moxibustion in the treatment of active ulcerative colitis (UC). MATERIAL AND METHODS In a prospective, randomized,(More)
OBJECTIVE Depression, anxiety, and somatization are the most frequently observed mental disorders in primary health care. Our main objective was to draw on the often neglected general practitioners' (GPs) perspective to investigate what characterizes these three common mental diagnoses with regard to creating more suitable categories in the DSM-V and(More)
BACKGROUND Due to technological progress and improvements in medical care and health policy the average age of patients in primary care is continuously growing. In equal measure, an increasing proportion of mostly elderly primary care patients presents with multiple coexisting medical conditions. To properly assess the current situation of co- and(More)
BACKGROUND Previous studies have suggested an increasing use of complementary and alternative medicine (CAM) in patients with inflammatory bowel disease (IBD). The aim of our study was to evaluate the use of CAM in German patients with IBD. METHODS A questionnaire was offered to IBD patients participating in patient workshops which were organized by a(More)
Objective: With the introduction of diabetes disease management programs (DMP) in Germany there is a necessity to evaluate whether patients receive care which is congruent to the chronic care model (CCM) and evidence-based behavioural counselling. We examined differences as perceived and experienced by patients with type 2 between those enrolled in a DMP(More)
More than two-thirds of patients in Germany use complementary and alternative medicine (CAM) provided either by physicians or non-medical practitioners ("Heilpraktiker"). There is little information about the number of family physicians (FPs) providing CAM. Given the widespread public interest in the use of CAM, this study aimed to ascertain the use of and(More)
OBJECTIVES To develop a framework for general practice management made up of quality indicators shared by six European countries. METHODS Two-round postal Delphi questionnaire in the setting of general practice in Belgium, France, Germany, The Netherlands, Switzerland and the United Kingdom. Six national expert panels, each consisting of 10 members,(More)
OBJECTIVE This study examined the effectiveness of the German diabetes disease management program (DMP) for patients with varying numbers of other medical conditions with respect to their health-related quality of life (HRQoL). RESEARCH DESIGN AND METHODS A questionnaire, including the HRQoL-measured EQ-5D, was mailed to a random sample of 3,546 patients(More)
BACKGROUND Peer review groups (PRGs) and quality circles (QCs) commenced in The Netherlands and have grown to become an important method of quality improvement in primary care in several other European countries. OBJECTIVE Our aim was to provide an overview of QC/PRG activities and exemplary programmes in European countries. METHODS A survey was(More)